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Physician smoking status, attitudes toward smoking, and cessation advice to patients: an international survey.

Abstract：

OBJECTIVE:The smoking status of physicians can impact interactions with patients about smoking. The 'Smoking: The Opinions of Physicians' (STOP) survey examined whether an association existed between physician smoking status and beliefs about smoking and cessation and a physician's clinical interactions with patients relevant to smoking cessation, and perceptions of barriers to assisting with quitting. METHODS:General and family practitioners across 16 countries were surveyed via telephone or face-to-face interviews using a convenience-sample methodology. Physician smoking status was self-reported. RESULTS:Of 4473 physicians invited, 2836 (63%) participated in the survey, 1200 (42%) of whom were smokers. Significantly fewer smoking than non-smoking physicians volunteered that smoking was a harmful activity (64% vs 77%; P<0.001). More non-smokers agreed that smoking cessation was the single biggest step to improving health (88% vs 82%; P<0.001) and discussed smoking at every visit (45% vs 34%; P<0.001). Although more non-smoking physicians identified willpower (37% vs 32%; P<0.001) and lack of interest (28% vs 22%; P<0.001) as barriers to quitting, more smoking physicians saw stress as a barrier (16% vs 10%; P<0.001). CONCLUSION:Smoking physicians are less likely to initiate cessation interventions. PRACTICE IMPLICATIONS:There is a need for specific strategies to encourage smoking physicians to quit, and to motivate all practitioners to adopt systematic approaches to assisting with smoking cessation.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Pipe A,Sorensen M,Reid R

doi

10.1016/j.pec.2008.07.042

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

118-23

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(08)00393-5

journal_volume

74

pub_type

杂志文章

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